Dr Shakti K Matta, MBBS, DCH, MD, FAAP | |
6802 W Rio Grande Ave Ste 1, Kennewick, WA 99336-7684 | |
(509) 572-2201 | |
(509) 783-8844 |
Full Name | Dr Shakti K Matta |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 6802 W Rio Grande Ave Ste 1, Kennewick, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679652135 | NPI | - | NPPES |
0124991 | Other | WA | WA STATE DL&I # |
8227530 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD00035969 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Shakti K Matta, MBBS, DCH, MD, FAAP 6802 W Rio Grande Ave Ste 1, Kennewick, WA 99336-7684 Ph: (509) 572-2201 | Dr Shakti K Matta, MBBS, DCH, MD, FAAP 6802 W Rio Grande Ave Ste 1, Kennewick, WA 99336-7684 Ph: (509) 572-2201 |
Dr. Ivan S Guevara, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 320 W 10th Ave Ste 102, Kennewick, WA 99336 Phone: 509-221-5910 Fax: 509-221-5912 | |
Mahmoud Adeeb Ah Hamdan, Pediatrics Medicare: Medicare Enrolled Practice Location: 721 S Auburn St, Kennewick, WA 99336 Phone: 509-547-2204 Fax: 509-542-8836 | |
Sonika Loona, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8108 W Grandridge Blvd, Kennewick, WA 99336 Phone: 509-942-3264 Fax: 509-735-5382 | |
Scott Terry, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3180 W Clearwater Ave Ste A, Kennewick, WA 99336 Phone: 509-547-2204 Fax: 509-545-3960 | |
Dr. Nikom Wannarachue, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 721 S Auburn St, Kennewick, WA 99336 Phone: 509-586-1157 Fax: 509-582-4189 | |
Gwendolyn G Gavino, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7211 W Deschutes Ave, Ste. E, Kennewick, WA 99336 Phone: 509-735-9239 Fax: 509-735-9310 | |
Glenn N. Ello, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4309 W 27th Pl, Suite 301, Kennewick, WA 99338 Phone: 509-222-2231 Fax: 509-222-2232 |